Minimally invasive happiness! You can't see the wound in a bikini.

In the outpatient department of cardiac surgery, if there is something wrong with the heart valve, the traditional treatment is only open surgery, but it is traumatic and risky, which makes patients panic. In the past four years, Yadong Hospital of New Taipei City has treated more than 65,438+0,000 cases of heart valve replacement or repair by using the minimally invasive open-heart surgery operated by Da Vinci's robotic arm. Not only is the postoperative wound small and the recovery quick, but even the patients wearing bikinis after the operation will not be found.

The traditional open heart surgery is quite risky, and the minimally invasive surgery combined with manipulator operation can reduce the risk of surgery. During his medical career, Qiu Guanming, a cardiac surgeon, performed at most 500 operations per year/kloc-0, and performed 5 operations in a row within 24 hours. Up to now, more than 4,000 cases of cardiac surgery have been completed, including more than 200 cases of minimally invasive surgery/kloc-0, which is several times the average lifetime operation volume of ordinary cardiac surgeons.

Dr. Qiu Guanming pointed out that the heart valve, like a goalkeeper, is the main helper to keep the heart blood flowing in one direction. When any valve is narrow, the blood cannot be discharged smoothly, or the atresia is incomplete, so that the discharged blood flows backwards, which hinders the normal progress of the blood and increases the burden on the heart, so that the myocardium becomes compensatory thickening and hypertrophy due to greater pressure during contraction, or the blood volume increases to produce expansionary compensation, which leads to heart failure.

Traditional open heart surgery is very risky.

In the treatment of heart valve diseases, most of them are medical treatment at first; However, when conservative drug therapy cannot improve the hemodynamics of valve diseases, surgical treatment, including valve repair or valve replacement, must be adopted. However, no matter what kind of operation, the traditional surgical wound is located in the center of the chest, and all the sternum must be sawed off, just like cutting a person in half and leaving 1 20 to 30 cm deep wound on the patient's chest.

This kind of wound not only affects the appearance, but also may cause problems in the healing of wounds and bones for the elderly, osteoporosis patients and diabetic patients. In addition, the sternum healing period of 3 months after operation is also easy to limit the normal daily activities and work of patients, so many patients are hesitant about the operation.

Dr. Qiu Guanming is a top minimally invasive surgeon in China, who explains the operation process through video. (Photography/Huang Zhiwen) Minimally invasive and happy, with little trauma and quick recovery.

Minimally invasive heart valve surgery includes aortic valve replacement, mitral valve repair and replacement, tricuspid valve repair and cardiac tumor resection. The average length of postoperative wound is about 7-8 cm, which is less than that of traditional operation 1/3, with less damage to body structure, less risk of complications, faster physical and mental recovery and faster return to normal life track.

As early as 2008, Yadong Hospital introduced minimally invasive surgery, which can not only reduce the damage of surrounding tissues and reduce blood transfusion, but also recover quickly because of small wounds. The place where the knife was cut was mostly on the outside of the right chest, and the average wound was about 7 cm. After cutting the side, the anesthesiologist used drugs and instruments to collapse the right lung, so that the doctor could look directly at the heart through the wound, and then performed open-heart surgery with a special Leonardo manipulator.

Up to now, Yadong Hospital has successfully treated more than 1000 patients with heart valve problems through this operation. This international symposium on minimally invasive happiness was held. Cardiac surgeons from Japan, Europe, America and the other mainland came to Taiwan to observe and let the world see Taiwan Province Province. However, doctors stressed that not all patients are suitable for minimally invasive surgery, and they should be evaluated by experienced doctors before operation, especially those with thoracic deformation, severe pulmonary adhesion and decreased cardiac function, which are not suitable for minimally invasive open surgery.